Phipatanakul, Wesley P
Phipatanakul, Wesley P is an individual health care provider with primary practice located at 25455 Barton Rd Suite 102B, Loma Linda CA 92354-3128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Phipatanakul, Wesley P can be contacted via phone (909) 558-2808.Contact Information
Primary practice address
25455 Barton Rd Suite 102B
Loma Linda CA 92354-3128
Phone: (909) 558-2808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A81135 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A81135 | California |
Profile Details
| NPI number | 1932135654 |
|---|---|
| LBN Legal business name | Phipatanakul, Wesley P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | May 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932135654 | NPPES |
| California | MEDICAID | 00A811350 |
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